Individual
THEODORE GLASSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.,
Contact information
Practice address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(718) 283-6301
Mailing address
408 E 92ND ST APT 29C, 29C, NEW YORK, NY 10128-6840
(917) 406-8063
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
220286
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02661609
—
NY
Enumeration date
09/29/2006
Last updated
07/08/2007
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